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Planning & Development <br /> _ - Permit and Information Center + <br /> Receipt 99 West 10th Avenue = <br /> - <br /> ' Eugene, Oregon 97401 <br /> (541) 682-5086 <br /> Method of Payment: Received From f <br /> u ~ C wp~(~. 5 ~e ~0~, ' <br /> ? Cash _ _ ; <br /> ? Check Address ~ ~ c~ t~C'c~.~ j 'f , ~~.PV~ <br /> k~~1.r~~ ? Visa/MC _ 7 <br /> ~ ~W ~ ~ r~~.~'tPhone ( ) 6c~J~ - ~nL~l ~Tlpv~.~ f fi <br /> Amount Received~~ 31-9 3 3a. -G f~ v - - <br /> / 9/ 5 o~,/la-~~ e~ ai~4cl.~d <br /> $ 3 ~ 7 h 8 , ~ J Descrintion/Reference Number: /c-w«..: ~ "°t{ ' <br /> - ~e ~O'~~1 S ~e s~ <br /> Application Name ~ 1~4 r - _ <br /> n' <br /> Application Types Z ~~yu C 1~ ~"•~~pplication # <br /> 4 rx r ? <br /> f. <br /> LAND PLAT <br /> 3300 Land Use Applications ? 3310 Plat <br /> (Final Plat) <br /> Post-Monumentation Payments must be made at 858 Pearl Street. <br /> Date G OFFICE USE <br /> Staff Initials { <br /> - . - , - ~ ~ t./ ~ ~ V lam. <br /> . , = - MAY i 5 _ ~ <br /> <br /> ^ CITY OF EUGENE t <br /> PERMIT & INFORMATION! CEf`~ITEf <br /> rte.. , <br /> ~ " <br /> . <br /> <br />